Provider Demographics
NPI:1306727904
Name:LOPEZ LLITERAS, ANIBAL JAN PIERRE (AUD)
Entity type:Individual
Prefix:
First Name:ANIBAL
Middle Name:JAN PIERRE
Last Name:LOPEZ LLITERAS
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 2692
Mailing Address - Street 2:
Mailing Address - City:BOQUERON
Mailing Address - State:PR
Mailing Address - Zip Code:00622-9363
Mailing Address - Country:US
Mailing Address - Phone:787-882-8585
Mailing Address - Fax:
Practice Address - Street 1:2022 AVE PEDRO ALBIZU CAMPOS
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-7163
Practice Address - Country:US
Practice Address - Phone:787-882-8585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1026231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty